Organization
GEORGE IWANOW HEARING AID CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE M IWANOW HEARING AID DEALER (PRESIDENT)
(586) 263-4401
Entity
Organization
Contact information
Practice address
19991 HALL RD, STE. 102, MACOMB, MI 48044-4254
(586) 263-4401
(586) 263-4402
Mailing address
19991 HALL RD, STE. 102, MACOMB, MI 48044-4254
(586) 263-4401
(586) 263-4402
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
350L000203
MI
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3501000203
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540E004930
BCBS
—
Enumeration date
12/18/2006
Last updated
02/24/2011
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